E-MhGAP Intervention Guide in Low- and Middle-income Countries: Proof-of-concept for Impact and Acceptability

Summary

Two strategies will be compared for training and supervising primary care workers delivering mental health services. Both strategies will use the World Health Organization mental health Gap Action Program-Intervention Guide. In the standard strategy, the paper-based version of the mental health Gap Action Program-Intervention Guide will be used. In the novel strategy an electronic version of the mental health Gap Action Program-Intervention Guide that can be used on mobile digital devices will be given to primary care workers. This is a feasibility cluster-randomized controlled trial to establish parameters for conducting a fully-powered cluster-randomized controlled trial comparing the paper versus digital strategy. The primary outcome of the subsequent fully powered trial will be the difference in accurate detection of depression.

Conditions

• Depression

Interventions

OTHER

paper-based version of mental health Gap Action Program-Intervention Guide

A paper-based guide for diagnosis and management of mental disorders in primary care.

OTHER

digital version of the mental health Gap Action Program-Intervention Guide

A digital guide and client data entry tool for diagnosis and management of mental disorders in primary care.

Sponsors & Collaborators

• King's College London

  collaborator OTHER

• Duke University

  collaborator OTHER

• Transcultural Psychosocial Organization Nepal

  collaborator OTHER

• University of Ibadan

  collaborator OTHER

• World Health Organization

  collaborator OTHER

• Medical Research Council

  collaborator OTHER_GOV

• George Washington University

  lead OTHER

Principal Investigators

• Graham Thornicroft, MD, PhD · King's College London

Study Design

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2020-12-27

Primary Completion

2022-08-31

Completion

2022-08-31

Countries

• Nepal
• Nigeria

Study Locations